Individual provider · Type 1 NPI

Jordan Ellman, ASW #126366

Clinical Social Worker · Culver City, CA

NPI number 1639978604 Active

Practice location

5350 Machado Road
Culver City, CA 90230-9023

Call (310) 204-3300 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X126366 (CA)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1639978604

Jordan Ellman, ASW #126366's National Provider Identifier is 1639978604, issued on Mar 11, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Culver City, CA. The record was last updated on Mar 11, 2025.